The holder whose full name is Carpenter, Corey Micah,come from Irving TX,hold the Physician license(NO.01067772A) which status is Expired Non-Renewable.
| Name | Carpenter, Corey Micah |
|---|---|
| License Number | 01067772A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Irving |
| State | TX |